Individual
AMANDA LYNN WHITLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2753 WISCONSIN ST, STURTEVANT, WI 53177-1827
(262) 886-8600
(262) 886-5342
Mailing address
2753 WISCONSIN ST, STURTEVANT, WI 53177-1827
(262) 886-8600
(262) 886-5342
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4961-12
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2013
Last updated
02/04/2022
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